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Clear, convenient and compassionate – patient-friendly billing should check off all three. But how many patients see this in practice? For many, the healthcare billing and payment process can be intimidating, confusing and rooted in paper-based systems that are slow and prone to error. With the right technology, providers can improve the billing experience by making it easier for patients to understand their financial responsibility and plan their payments. Online patient payment software can streamline the billing process by giving patients more flexibility and control. Here are 5 patient-friendly billing practices that providers can implement to improve the patient experience and protect revenue: 1. Provide proactive and reliable cost estimates Patients don’t want to feel like they’re in the dark when it comes to figuring out their financial responsibility. Unfortunately, too many receive no upfront estimates of the cost of care or receive estimates that aren’t accurate. This financial uncertainty can have a knock-on effect on patient care and provider cash flow. A survey by Experian Health and PYMNTS found that 46% of patients had canceled care after receiving a high-cost estimate, while 60% of patients with out-of-pocket expenses said they would consider switching providers after receiving inaccurate estimates. Patient Payment Estimates generates accurate, personalized estimates for each patient before and at the point of service. The patient’s liability is clearly broken down so they know exactly what to expect. Patients feel more in control and can make quicker, better decisions about how and when to pay (including paying upfront if they wish). This tool also helps providers comply with the Hospital Price Transparency Rule. 2. Eliminate confusing billing information In the age of Amazon, patients expect billing information to be clear, accessible and provided through their preferred channel. Long paper statements sent by mail or a single phone number to call during limited office hours likely won’t cut it. Providers should consider a multichannel approach that uses relevant patient financial data and consumer preferences to deliver personalized options. PatientSimple® is a self-service payments portal that allows patients to view statements online, generate pricing plans and manage their bills, all from a single dashboard. Patients can get automated email reminders and even pay in full. When patients have all the information they need at their fingertips, providers can spend less time handling queries and chasing payments. 3. Find missing coverage early Another ingredient in patient-friendly billing is to help patients reduce their liability, by tracking down any insurance coverage that might have been forgotten. Many patients relocated or changed employers during the pandemic, leaving many unclear about their current coverage. They may be misclassified as self-pay or assumed to have only one form of insurance. Coverage Discovery automatically checks for any active coverage that may have been missed. In 2021, Coverage Discovery tracked down previously unknown billable insurance coverage in more than 27.5% of self-pay accounts, finding over $66 billion in corresponding charges. This greatly reduces the financial burden on patients, while increasing reimbursement rates for providers. It’s just one example of a non-patient-facing tool that works behind the scenes to streamline patient collections. Discover how Stanford Health Care collaborated with Experian Health to optimize collections and improve the patient experience with Coverage Discovery and Collections Optimization Manager. 4. Patient-friendly billing requires personalized payment plans When it comes to payment, some patients will prefer to pay upfront and in full, while others want or need to spread out the cost into more manageable chunks. Providers can pull together financial, demographic and consumer data to point patients toward the right pathway. This is how Patient Financial Clearance works: patients are guided to a payment plan that makes the most sense for their individual situation, with a clear breakdown of what they’ll need to pay and when. Patients are automatically screened for financial assistance programs and can fill out applications online. 5. Allow convenient and flexible ways to pay Patients want simple and easy ways to pay. They expect a choice of quick and convenient digital payment methods that can be accessed anytime, anywhere. The preference for digital payment solutions is especially apparent among younger generations. More than half of millennials say they’re “very” or “extremely” interested in digital services. With online patient payment software, patients have the option to pay multiple providers at once, using multiple forms of digital payments. They can store credit card information on file or set up a digital wallet, and set up automatic recurring payments to stay on track. Offering secure, flexible and instant payment methods to patients from the start of their healthcare journey increases the chance of prompt payment. Patients are free to focus on their health, while providers will see an increase in cash flow with less time spent on collections. Patient-friendly billing practices create better patient experiences Outdated patient portals, poor communication and clunky billing processes do not make for a patient-friendly financial experience. The good news for providers (and their patients) is the growing menu of digital tools to offer patients the clarity and flexibility they expect. Experian Health President Tom Cox says: “Payment options are increasingly digital and more convenient, payment plans are more common, and price estimates have become less of a rarity. There is also greater use of non-clinical data to get a broader view of patients and their unique financial solutions. Data, coupled with the right technology, can help providers make sense of it all and enhance the patient journey.” Find out more about how Experian Health’s online patient payment software can help healthcare organizations build a modern financial experience to benefit patients and providers.
Find out how online payment software can help healthcare organization increase collections and improve patient satisfaction.
As a healthcare provider, it's important to provide patients with financial support. Learn how Experian Health's digital front door solutions can help.
Discover 5 ways the right patient payment software can create a more satisfying patient experience and accelerate collections.
Learn how providing patient estimates can help your healthcare organization meet price transparency regulations, improve cash flow, and more.
Discover how patient payment estimates can help patients understand their financial responsibility and better budget for healthcare expenses.
Patients want and expect digital and contactless payment methods. Learn how healthcare providers can create a better patient payment experience.
From canceling appointments to being surprised by out-of-pocket expenses, this article looks at the key differences in generations and healthcare costs.
New data reveals that the number of healthcare data breaches continues to climb, causing financial and reputational damage to healthcare providers. HIPAA Journal reported 692 large healthcare data breaches between July 2021 and June 2022 that exposed the records of over 42 million individuals. The number of records breached in June 2022 was more than 65% higher than the monthly average over the previous year, highlighting the need for providers to stay on top of their game when it comes to protecting patient data. In a recent conversation with PYMNTS, Chris Wild, Experian Health’s Vice President of Adjacent Markets and Consumer Engagement, discussed the consequences of healthcare data breaches and set out the key steps providers should take to prevent and resolve security incidents. Compromised patient records send financial and reputational costs soaring IBM reports that financial damages resulting from data breaches have reached a 12-year high, with the average breach in healthcare costing $10.1 million, up nearly $1 million since 2020. Wild notes that this includes a huge range of costs, from HIPAA fines to operational costs to curb and resolve breaches: “The cost of dealing with a breach is enormous. There’s anything from penalties of $100 per incident to $1.5 million per year. You’ve got reconciliation costs – trying to patch the holes in technology stacks and things like that. You’ve also got inbound phone calls from concerned patients who’ve just heard about a breach and want to know if it impacts them.” But Wild says that beyond HIPAA fines and operational expenses, the greatest cost is repairing the reputational damage of breaching patient trust: “the reputational cost is enormous because once you lose a patient, you lose a patient.” Wild suggests a two-pronged approach to mitigate the risk and impact of a healthcare data breach that focuses on prevention and preparation. Protecting patient identities to deliver a satisfying and secure consumer experience An unfortunate side effect of the accelerated adoption of digital health solutions during the pandemic was that it opened the door to new methods of medical crime and fraud. Patients interact with their data electronically more often, thus increasing their vulnerability to cyber-criminal attacks. Preventing infiltration by bad actors before they occur should be the priority. In the past, efforts to secure a patient’s identity have relied on personal security questions, considered unanswerable by anyone but the patient. However, Wild says that asking for past addresses and details of previous living arrangements may no longer be the gold standard: “We’re finding that this is a little bit passé now. There’s a lot more that goes into identifying somebody, and that goes along with improving security, but it also improves the patient experience. There’s always been a balance between trying to make sure that data is secure on the one hand, but also make sure that it’s easy to access on the other.” To this end, providers should look for patient engagement solutions that deliver a flexible, convenient and consumer-friendly patient experience, while ensuring that patient data is secure. Wild suggests a few specific strategies, such as monitoring device ID and validating the identification documents used during patient registration: “When you have your cell phone or your tablet or your laptop, or your computer, or even your voice assistant devices, they all have a device ID. We keep track of those and see which ones are being naughty, which ones are being nice. We can start to ramp up when we see a naughty device acting naughty. But also think about things like document verification, validating that a driver’s license being shown to a registrar is actually a real driver’s license, or things of that nature.” A multi-layered approach to securing patient portals and other digital patient access tools will ensure there is no single point of vulnerability. Experian Health’s patient portal security solutions with Precise ID include a range of protections, including two-factor sign-in authentication, device intelligence and additional checks on risky requests to proactively secure patient identities. Each element protects against a specific type of threat, building up defensive depth to thwart attempts to breach patient data. Responding quickly in the event of a healthcare data breach Prevention only goes so far, though. Evidence suggests that most healthcare providers will be hit by a data breach at some point. Wild suggests that regular “fire drills” can help ensure that everyone in the organization knows how to respond, should the worst happen: “For a healthcare data breach or any sort of misappropriation of patient or member data, you want to make sure you’re keeping things safe, keeping things secure, and make sure that all of the associated people know what to do.” Wild says this must include front desk staff who will be answering phones from worried patients, through to marketing teams who will need to put out proactive messages about what happened and how it will be dealt with. How a provider responds may have an even greater impact on their reputation and patient loyalty than the breach itself. All of this can be pulled together in a data breach response plan, which sets out exactly what needs to be done and by whom, to help organizations avoid missteps in the aftermath of a breach. Experian Health’s Reserved ResponseTM program can help healthcare organizations put together a data breach preparedness plan in as little as three days. The program is based on 17 years of real-world experience dealing with data breaches and has evolved as security threats and consequences have increased. The program offers providers guides, templates, checklists and service-level agreements to guarantee manpower, infrastructure and response readiness at the most crucial moments. As the uptake of patient portals and other digital patient access solutions accelerates, finding the right data security partner to help navigate the unprecedented threats and consequences will be essential. Watch the full interview with Chris Wild and find out more about how Experian Health helps healthcare providers protect patient identities to prevent healthcare data breaches.